Individual
ELIZABETH LARA PELOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
300 STAFFORD ST, SPRINGFIELD, MA 01104-4110
(413) 748-7095
(413) 732-0225
Mailing address
17 HARLOW CLARK RD, HUNTINGTON, MA 01050-9799
(503) 704-5660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN276952
MA
363LF0000X
Family Nurse Practitioner
Primary
RN276952
MA
Other
Enumeration date
06/29/2020
Last updated
09/17/2024
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